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DR. RICHARD TODD BOONE DDS
NPI 1730172263
Dentist - Oral and Maxillofacial Surgery in Ada, OK

Active since August 30, 2005Opted out of Medicare · through Apr 1, 2028
803 N MONTE VISTA ST, ADA, OK 74820(580) 332-3010(580) 332-1302 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Todd Boone Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD TODD BOONE DDS (NPI 1730172263) is an individual oral and maxillofacial surgery provider in Ada, Oklahoma, licensed in Oklahoma (4808) and active in the NPI registry since August 2005. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730172263
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RICHARD TODD BOONECredential: DDS
Location Address803 N MONTE VISTA STAda, OK 74820-7711
Mailing Address803 N Monte Vista StAda, OK 74820-7711 · (580) 332-3010 · Fax (580) 332-1302
Phone(580) 332-3010
Fax(580) 332-1302
Sole ProprietorYes
Enumeration DateAugust 30, 2005
Last NPPES UpdateAugust 7, 2013
✔ NPI 1730172263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OK · 4808
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
803 N MONTE VISTA ST, Ada, OK 74820
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Other Identifiers 4

Medicaid100112550AOK
Medicare PIN242415799OK
Other787600OK · United Concordia
Medicare UPINU10180

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard Todd Boone Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVA ORAL SURGERY LLC
Dentist (Oral and Maxillofacial Surgery)
803 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-3010
DR. HANS CHARLES IGOU D.D.S.
Dentist
803 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-3010
SOUTHEAST OKLAHOMA ORAL & MAXILLOFACIAL SURGERY, PC
Dentist (Oral and Maxillofacial Surgery)
803 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-3010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Boone's NPI number?

The NPI number for Richard Boone is 1730172263. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Richard Boone located?

Richard Boone practices at 803 N Monte Vista St, Ada, OK 74820. The listed phone number is (580) 332-3010.

What is Richard Boone's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Richard Boone enrolled in Medicare?

No. Richard Boone has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Richard Boone accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Richard Boone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Boone was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.